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Retinal Trauma

  • Carsten H. Meyer
  • Fernando M. Penha
  • Michel E. Farah
  • Peter Kroll
Chapter

Abstract

Non-penetrating or closed-globe injuries represent 50–80 % of traumatic eye injuries. Generally, the most affected population is the man under 30 years old. It may occur by several mechanisms thus damaging a variety of different retinal structures. The Ocular Trauma Classification Group defined a standardized classification for frequently used terms based on standard terminology and features of ocular injuries that have demonstrated prognostic significance. In a closed-globe injury, the eye wall does not have a full-thickness wound, and the mechanism of injury may be grouped into two main categories: the direct (anterior) type occurring at the site of the impact and an indirect (posterior) type at the contrecoup injury, which is more commonly found. Several groups investigated the mechanical impact of blunt ocular trauma and reported theories how defined anatomical structures can be damaged (Fig. 27.1). After a traumatic event, the vision can be unaffected or completely lost, depending on the location of the damaged anatomical structure, e.g., choroidal vessels, choriocapillaris, Bruch’s membrane, retinal pigment epithelium (RPE), and neuroretina (Berg et al. 1989; Mennel et al. 2004; Williams et al. 1990).

Keywords

Retinal Pigment Epithelium Retinal Pigment Epithelium Cell Optic Nerve Head Macular Hole Internal Limit Membrane 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Akiyama H, Shimoda Y, Fukuchi M, Kashima T, Mayuzumi H, Shinohara Y, Kishi S (2014) Intravitreal gas injection without vitrectomy for macular detachment associated with an optic disc pit. Retina 34:222–227CrossRefPubMedGoogle Scholar
  2. Berg P, Kroll P, Krause K (1989) Pathogenic mechanism of contusio bulbi. Fortschr Ophthalmol 86:407–410PubMedGoogle Scholar
  3. Berlin R (1873) Zur sogenannten commotio retinae. Klin Monatsbl Augenheilkd 1:42–78Google Scholar
  4. Bottós JM, Elizalde J, Rodrigues EB, Maia M (2012) Current concepts in vitreomacular traction syndrome. Curr Opin Ophthalmol 23:195–201CrossRefPubMedGoogle Scholar
  5. Choudhry N, Rao RC (2014) Images in clinical medicine: valsalva retinopathy. N Engl J Med 370:1368CrossRefGoogle Scholar
  6. Dailey RA, Mills RP, Stimac GK, Shults WT, Kalina RE (1986) The natural history and CT appearance of acquired hyperopia with choroidal folds. Ophthalmology 93:1336–1342CrossRefPubMedGoogle Scholar
  7. Doi M, Osawa S, Sasoh M, Uji Y (2000) Retinal pigment epithelial tear and extensive exudative retinal detachment following blunt trauma. Graefes Arch Clin Exp Ophthalmol 238:621–624CrossRefPubMedGoogle Scholar
  8. Duane TD (1972) Valsalva retinopathy. Trans Am Ophthalmol Soc 70:298–311PubMedPubMedCentralGoogle Scholar
  9. Dubovy SR, Guyton DL, Green WR (1997) Clinicopathologic correlation of chorioretinitis sclopetaria. Retina 17:510–520CrossRefPubMedGoogle Scholar
  10. Fernández MG, Navarro JC, Castaño CG (2012) Long-term evolution of Valsalva retinopathy: a case series. Journal of medical case reports 6:1Google Scholar
  11. Foos RY (1972) Vitreoretinal juncture, topographical variations. Invest Ophthalmol 11:801–809PubMedGoogle Scholar
  12. Garcia-Arumi J, Corcostegui B, Tallada N, Salvador F (1994) Epiretinal membranes in tersons syndrome. A clinicopathologic study. Retina 14:351–355CrossRefPubMedGoogle Scholar
  13. Gass JD (1988) Idiopathic senile macular hole. Its early stages and pathogenesis. Arch Ophthalmol 106:629–639CrossRefPubMedGoogle Scholar
  14. Gass JD (1995) Reappraisal of biomicroscopic classification of stages of development of a macular hole. Am J Ophthalmol 119:752–759CrossRefPubMedGoogle Scholar
  15. Green MA, Lieberman G, Milroy CM, Parsons MA (1996) Ocular and cerebral trauma in non-accidental injury in infancy: underlying mechanisms and implications for paediatric practice. Br J Ophthalmol 80:282–287CrossRefPubMedPubMedCentralGoogle Scholar
  16. Hesse L, Bodanowitz S, Kroll P (1996) Retinal necrosis after blunt ocular trauma. Klin Monatsbl Augenheilkd 209:150–152CrossRefPubMedGoogle Scholar
  17. Iwanoff A (1865) Beiträge zur normalen und pathologischen Anatomie des Auges. Archiv für Ophthalmologie 11:135–170Google Scholar
  18. Jampol LM, Shankle J, Schroeder R et al (2006) Diagnostic and therapeutic challenges. Retina 26:1072–1076CrossRefPubMedGoogle Scholar
  19. Janknecht P (2011) Treatment of traumatic choroidal neovascularization with ranibizumab. Ophthalmology 108:57–59CrossRefGoogle Scholar
  20. Kinoshita T, Imaizumi H, Okushiba U, Miyamoto H, Ogino T, Mitamura Y (2012) Time course of changes in metamorphopsia, visual acuity, and OCT parameters after successful epiretinal membrane surgery. Invest Ophthalmol Vis Sci 53:3592–3597CrossRefPubMedGoogle Scholar
  21. Kranenberg EW (1960) Crater-like holes in the optic disc and central serous retinopathy. Arch Ophthalmol 64:912–924CrossRefGoogle Scholar
  22. Kroll P, Busse H (1986) Therapy of preretinal macular hemorrhages. Klin Monatsbl Augenheilkd 188:610–612CrossRefPubMedGoogle Scholar
  23. Lee CS, Woo SJ, Kim YK et al (2014) Clinical and spectral-domain optical coherence tomography findings in patients with focal choroidal excavation. Ophthalmology 121:1029–1035CrossRefPubMedGoogle Scholar
  24. Levin LA, Seddon JM, Topping T (1991) Retinal pigment epithelial tears associated with trauma. Am J Ophthalmol 112:396–400CrossRefPubMedGoogle Scholar
  25. Lincoff H, Kreissig I (1998) Optic coherence tomography of pneumatic displacement of optic disk pit maculopathy. Br J Ophthalmol 83:367–372CrossRefGoogle Scholar
  26. Mansour AM, Green WR, Hogge C (1992) Histopathology of commotio retinae. Retina 12:24–28CrossRefPubMedGoogle Scholar
  27. Margolis R, Mukkamala SK, Jampol LM et al (2011) The expanded spectrum of focal choroidal excavation. Arch Ophthalmol 129:1320–1325CrossRefPubMedGoogle Scholar
  28. Mennel S, Meyer CH, Kroll P (2004) Dislocation of the lenses. N Engl J Med 351:1913–1914CrossRefPubMedGoogle Scholar
  29. Mennel S, Hausmann N, Meyer CH, Peter S (2005) Photodynamic therapy and indocyanine green guided feeder vessel photocoagulation of choroidal neovascularization secondary to choroidal rupture after blunt trauma. Graefes Arch Clin Exp Ophthalmol 243:68–71CrossRefPubMedGoogle Scholar
  30. Messner KH (1977) Spontaneous separation of preretinal macular fibrosis. Am J Ophthalmol 83:9–11CrossRefPubMedGoogle Scholar
  31. Meyer CH, Rodrigues EB (2004) Optic disc pit maculopathy after blunt ocular trauma. Eur J Ophthalmol 14:71–73PubMedGoogle Scholar
  32. Meyer CH, Toth CA (2001) Retinal pigment epithelial tear with vitreomacular attachment: a novel pathogenic feature. Graefes Arch Clin Exp Ophthalmol 239:325–333CrossRefPubMedGoogle Scholar
  33. Meyer CH, Rodrigues EB, Mennel S (2003a) Acute commotio retinae determined by cross-sectional optical coherent tomography. Eur J Ophthalmol 13:816–818PubMedGoogle Scholar
  34. Meyer CH, Rodrigues EB, Schmidt JC (2003b) Congenital optic nerve head pit associated with reduced retinal nerve fiber thickness at the papillomacular bundle. Br J Ophthalmol 87:1300–1301CrossRefPubMedPubMedCentralGoogle Scholar
  35. Meyer CH, Rodrigues EB, Kroll P (2004a) Reduced concentration and incubation of intravitreal Indocyanine green can improve the functional outcome in macular hole surgery. Am J Ophthalmol 137:386CrossRefPubMedGoogle Scholar
  36. Meyer CH, Rodrigues EB, Mennel S, Schmidt JC, Kroll P (2004b) Spontaneous separation of epiretinal membrane in young subjects: personal observations and review of the literature. Graefes Arch Clin Exp Ophthalmol 242:977–985CrossRefPubMedGoogle Scholar
  37. Meyer CH, Mennel S, Rodrigues EB, Schmidt JC (2006) Persistent premacular cavity after membranotomy in Valsalva retinopathy on optical coherence tomography. Retina 26:116–118CrossRefPubMedGoogle Scholar
  38. Moreira Neto CA, Moreira Junior CA (2013) Vitrectomy and gas-fluid exchange for the treatment of serous macular detachment due to optic disc pit: long-term evaluation. Arq Bras Oftalmol 76:159–162CrossRefPubMedGoogle Scholar
  39. Nettleship E (1884) Peculiar lines in the choroid in a case of post-papillitic atrophy. Trans Ophthalmol Soc UK 4:167Google Scholar
  40. Norton EWD (1969) A characteristic fluorescein angiographic pattern in choroidal folds. Proc R Soc Med 62:119PubMedPubMedCentralGoogle Scholar
  41. Pahor D (2000) Changes in retinal light sensitivity following blunt ocular trauma. Eye 14:583–589CrossRefPubMedGoogle Scholar
  42. Piermarocchi S, BenettiE FG (2011) Intravitreal bevacizumab for posttraumatic choroidal neovascularization in a child. J AAPOS 15:314–316CrossRefPubMedGoogle Scholar
  43. Schmidt JC, Meyer CH, Rodrigues EB, Hörle S, Kroll P (2003) Staining of the internal limiting membrane in vitreoretinal surgery: a simplified technique. Retina 23:263–264CrossRefPubMedGoogle Scholar
  44. Secretan M, Sickenberg M, Zografos L, Piguet B (1998) Morphometric characteristics of traumatic choroidal ruptures associated with neovascularization. Retina 18:62–66CrossRefPubMedGoogle Scholar
  45. Shiono A, Kogo J, Klose G, Takeda H, Ueno H, Tokuda N, Inoue J, Matsuzawa A, Kayama N, Ueno S, Takagi H (2013) Photoreceptor outer segment length: a prognostic factor for Idiopathic epiretinal membrane surgery. Ophthalmology 120:788–794CrossRefPubMedGoogle Scholar
  46. Sipperley JO, Quigley HA, Gass DM (1978) Traumatic retinopathy in primates. The explanation of commotio retinae. Arch Ophthalmol 96:2267–2273CrossRefPubMedGoogle Scholar
  47. Sugar HS (1962) Congenital pits in the optic disc with acquired macular pathology. Am J Ophthalmol 53:307–311CrossRefPubMedGoogle Scholar
  48. Trese M, Chandler D, Machemer R (1983) Macular pucker. I Prognostic criteria. Graefes Arch Clin Exp Ophthalmol 221:12–15CrossRefPubMedGoogle Scholar
  49. Ulbig MW, Mangouritsas G, Rothbacher HH, Hamilton AM, McHugh JD (1998) Long-term results after drainage of premacular subhyaloid hemorrhage into the vitreous with a pulsed Nd:YAG laser. Arch Ophthalmol 116:1465–1469CrossRefPubMedGoogle Scholar
  50. Von Graefe A (1854) Zwei Fälle von Ruptur der Choroidea. Graefes Arch Clin Exp Ophthalmol 1:402Google Scholar
  51. Wagemann A (1902) Zur pathologischen Anatomie der Aderhautruptur und Iridodialyse. Bericht Deutsche Ophthal Ges 30:278–282Google Scholar
  52. Wakabayashi Y, Nishimura A, Higashide T et al (2010) Unilateral choroidal excavation in the macula detected by spectral-domain optical coherence tomography. Acta Ophthalmol 88:e87–e91CrossRefPubMedGoogle Scholar
  53. Williams DF, Mieler WF, Williams GA (1990) Posterior segment manifestations of ocular trauma. Retina 10(Suppl 1):S35–S44CrossRefPubMedGoogle Scholar
  54. Yamashita T, Uemara A, Uchino E, Doi N, Ohba N (2002) Spontaneous closure of traumatic macular hole. Am J Ophthalmol 133:230–235CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2017

Authors and Affiliations

  • Carsten H. Meyer
    • 1
  • Fernando M. Penha
    • 2
  • Michel E. Farah
    • 3
  • Peter Kroll
    • 4
  1. 1.Department of OphthalmologyPallas KlinikAarauSwitzerland
  2. 2.Bascom Palmer Eye InstituteUniversity of MiamiMiamiUSA
  3. 3.Department of OphthalmologyFederal University of São PauloSão PauloBrazil
  4. 4.Department of OphthalmologyPhilipps UniversityMarburgGermany

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